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- Arman, Maria, et al.
(author)
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Indications of change in life perspective among women with breast cancer admitted to complementary care
- 2001
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In: European Journal of Cancer Care. - OXFORD : BLACKWELL SCIENCE LTD. - 0961-5423 .- 1365-2354. ; 10:3, s. 192-200
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Journal article (peer-reviewed)abstract
- In this study, qualitative content analysis was used in order to understand the reported changes of life perspective in interviews with 59 women with breast cancer who were admitted to complementary care. The aim of this research was to study women's perceived consequences as well as perceived causes of breast cancer and to explore aspects of importance to the women. The material was collected in semistructured interviews from women with breast cancer at different stages of the disease. The women received complementary care at an anthroposophic clinic in Sweden. Findings showed that these women's view of their relationships with others grew more valuable. Their self-confidence and experience of strength improved, and they regarded life as being more enriched. A change in their disposition towards becoming more fragile and low-spirited was experienced as a hardship by the women. Am interesting finding was that the patients described the aetiology of the disease from several interacting perspectives, which also affected their ideas of how to achieve wellbeing and health. The findings support the view that changes of both benefit and harm are present in the experience of breast cancer.
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- Arman, Maria, et al.
(author)
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The face of suffering among women with breast cancer : Being in a field of forces
- 2002
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In: Cancer Nursing. - : Lippincott Williams & Williams. - 0162-220X .- 1538-9804. ; 25:2, s. 96-103
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Journal article (peer-reviewed)abstract
- Through qualitative interviews, the suffering experiences of women with breast cancer and their significant others were disclosed. Seventeen women with different stages of breast cancer and 16 significant others from 4 different care cultures in Sweden and Finland participated. Five of the women had advanced metastatic breast cancer, and 12 had a localized disease. Mean age was 48 years. As a methodology, a team approach, inspired by the Vancouver School of Doing Phenomenology, was used. The findings elucidate how the suffering experience touched the women's inner existence and values. This can metaphorically be described as a "field of force" and affected everything in the women's lives, including their views of themselves and their relationships. Existential questions were raised about life and death and the meaning of life. In their suffering, the women's dependency upon significant others, as well as healthcare personnel, was prominent. Suffering related to healthcare was a strong theme. Different faces of suffering related to breast cancer may still be unknown by healthcare professionals working in cancer care.
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- Arman Rehnsfeldt, Maria, 1954-, et al.
(author)
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Suffering related to health care : a study of breast cancer patients' experiences.
- 2004
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In: International Journal of Nursing Practice. - 1322-7114 .- 1440-172X. ; 10:6, s. 248-256
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Journal article (peer-reviewed)abstract
- A previous study indicated that patient narratives include experiences of suffering caused or increased by health-care encounters. The aim of this study was to interpret and understand the meaning of patients' experiences of suffering related to health care from an ethical, existential and ontological standpoint. Sixteen women with breast cancer in Sweden and Finland took part in qualitative interviews analysed with a hermeneutic, interpretive approach. The outcome showed that suffering related to health care is a complex phenomenon and constitutes an ethical challenge to health-care personnel. The women's experiences of suffering related to health care tended to be of similar seriousness as their experiences of suffering in relation to having cancer. In an ethical, existential and ontological sense, suffering related to health care is basically a matter of neglect and uncaring where the patient's existential suffering is not seen and she is not viewed as a whole human being.
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| 6. |
- Carlsson, Marianne, et al.
(author)
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Evaluation of quality of life/life satisfaction in women with breast cancer in complementary and conventional care
- 2004
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In: Acta Oncologica. - OSLO : TAYLOR & FRANCIS AS. - 0284-186X .- 1651-226X. ; 43:1, s. 27-34
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Journal article (peer-reviewed)abstract
- The aim was to study the perceived quality of life/life satisfaction in a sample of women with breast cancer who were treated in a hospital with alternative/complementary care and the same variables in individually matched patients who received only conventional medical treatment. A non-randomized controlled trial design with repeated measurements was used. Sixty women with breast cancer treated with anthroposophic medicine (ABCW) and 60 with conventional medicine (CBCW) were included and 36 matched pairs took part on all occasions. The quality of life was measured by the EORTC QLQ-C30 and the Life Satisfaction Questionnaire (LSQ). The comparisons were calculated as effect sizes (ES). The women in the ABCW group reported small or moderate effects, expressed as ES, on their quality of life/life satisfaction compared to their matched "twins'' in the CBCW group at the 1-year follow-up in 15 out of 21 scales/factors. It was concluded that the women who had chosen anthroposophic care increased their perceived quality of life/life satisfaction according to the methodology of the study.
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| 8. |
- Carlsson, Marianne, et al.
(author)
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Perceived quality of life and coping for Swedish women with breast cancer who choose complementary medicine
- 2001
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In: Cancer Nursing. - PHILADELPHIA : LIPPINCOTT WILLIAMS & WILKINS. - 0162-220X .- 1538-9804. ; , s. 395-401
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Journal article (peer-reviewed)abstract
- The aim of the present study, which is part of a major clinical controlled study of the life situation of women with breast cancer, was to compare two groups of women concerning perceived quality of life and coping. The women were treated in two different cancer treatment programs: complementary treatment, which included anthroposophic therapy, and conventional cancer treatment. A total of 120 women were included, 60 women treated with anthroposophic medicine, and 60 individually matched women treated with conventional medicine only. Quality of life was measured by the European Organization for Research and Treatment of Cancer, Quality of Life Questionnaire, Core 30, and the Life Satisfaction Questionnaire. Coping was measured by the Mental Adjustment to Cancer scale. The results showed that the women who chose anthroposophic therapy perceived their quality of life to be lower on admission to the hospital and showed more anxious preoccupation than the women in conventional medicine. It can be concluded that, due to the careful matching procedure, the women in the two groups are comparable in a medical sense but not from the perspective of quality of life and coping.
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